Acceptance and Commitment Therapy: A Treatment Option for Substance Use Disorders Miriam Mukasa Kasozi, Ashley Yaugher, and Ty Aller
What Is a Substance Use Disorder (SUD)? A substance use disorder (SUD) happens when someone keeps using alcohol or other substances (e.g., tobacco, opioids, methamphetamines)—even when it causes problems in their life. It can affect how people think, feel, and act, and make it hard to stop using the substance, even if they want to do so. This can lead to health issues, relationship troubles, or problems at work or school (American Psychiatric Association [APA], n.d.; National Institute of Mental Health [NIMH], n.d.). The good news is that help is available. People can and do recover (APA, n.d.; Substance Abuse and Mental Health Services Administration [SAMHSA], n.d.)
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What Are the Treatments for SUDs?
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SUDs are complex, so the same treatment doesn’t work for everyone (McGovern & Carroll, 2003). There is not a single reason why people experience SUDs. Many people share common experiences, such as going through a difficult event in childhood or facing trauma as an adult. Because of this, supporting people with SUDs often requires flexible treatment approaches, since one size doesn’t fit all. For example, in Utah, alcohol use disorder is the most common SUD (Public Health Indicator Based Information System, 2025). Many individuals seeking help report past trauma or mental health concerns, which means care needs to meet people
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A substance use disorder (SUD) happens when someone keeps using alcohol or other substances, even when it causes problems in their life. People can and do get better from SUDs with flexible options that meet each person’s needs. Treatments can range from medication management to physical activity--or a combination. One helpful treatment option is called acceptance and commitment therapy (ACT). Techniques used in ACT include identifying and clarifying your values, acceptance/willingness, cognitive defusion, mindfulness, and committed action. ACT is an effective treatment and support for SUD recovery. Working with a professional therapist can address your entire self and well-being.